A rare case of hyperammonaemic encephalopathy. Issue 7 (2nd July 2019)

• Record Type: Journal Article
• Authors: Pang, Yeu Jye; Day, Stephanie; Sumner, Daniel; Adegoke, Kenneth
• Is Part Of: BMJ case reports. Volume 12:Issue 7(2019)
• Publication Date: 2019-07-02
• Subjects: urological surgery -- surgery -- congenital disorders; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2018-228410
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A 75-year-old female patient presented to the accident and emergency department following a collapse. She was treated for a saddle pulmonary embolism and underlying urinary tract infection. However, 48 hours later she was found to have reduced consciousness with no apparent cause (Glasgow Coma Scale of 8 out of 15). Subsequent blood results revealed a highammonia level. After reflection into her medical history, it was found that she had bladder exstrophy, which was managed with urinary diversion surgery as an infant, and her presentation was a rare complication of this operation.